Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.26 / $355.26 / $355.26	Facility		$355.26	$355.26	$355.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.05 / $355.26 / $1,170.59	Professional		$341.05	$355.26	$1,170.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.08 / $324.10 / $386.17	Professional		$243.08	$324.10	$386.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $405.72 / $405.72 / $405.72	Professional		$405.72	$405.72	$405.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $251.49 / $376.58	Facility		$4.49	$251.49	$376.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.15 / $161.15 / $161.15	Professional		$161.15	$161.15	$161.15
United Facility/Professional Professional Modifier Low / Median / High Price $335.45 / $458.03 / $537.88	Professional		$335.45	$458.03	$537.88